Article

Objective : To develop a computer program that supports the overview of a
follow-up care process in people with spinal cord injury (SCI) in daily clinical
practice. OBJECTIVES: To create a new electronic tool based on the International
Classification of Functioning, Disability and Health (ICF) that enables
information to be registered and visualized, including the use of a net-diagram
('spider') to show a patient's long-term development. This diagram helps the
clinician to recognize predispositions over time, as well as making information
accessible to the patient, so as to involve him as a participant in defining
current and future treatment options. Furthermore, guidelines for the prevention
of common diseases, based on the recommendations of internal medicine,
rehabilitation medicine and findings in the SCI literature, were implemented to
provide enhanced health coaching in the area of preventative care. METHODS: In an
outpatient setting, four perspectives were assessed: patient, physician,
occupational therapist and physiotherapist for a comprehensive bio-psycho-social
consideration. All categories were assessed and graphically visualized with the
electronic tool, on the basis of the ICF domains: body function,
activities/participation and environmental factors. RESULTS: The assessed data
were summarized and graphically represented using three spider charts.
CONCLUSION: The tool facilitates the patient counselling and the
interdisciplinary work in daily clinical practice. Such a visual report helps to
recognize predispositions over time. Furthermore, it helps to explain the
clinical and patient-related findings accessible to the patients, to involve them
as participants in defining the goals and the treatment plan.

Langue : ANGLAIS